Information Collection Request

Certificate of Electrical Training and Applications for MSHA Approved Tests and State Tests Administered as Part of an MSHA-approved State Program

ICR 202504-1219-004 · OMB 1219-0001 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form MSHA Form 5000-1 Certificate of Electrical Training Form and Instruction Removed Repair queued
Form MSHA Form 5000-1 Certificate of Electrical Training Form and Instruction Removed Available
Form MSHA Form 5000-1 Certificate of Electrical Training (State Grantees) Form and Instruction Removed Repair queued
Form MSHA Form 5000-1 Certificate of Electrical Training Form and Instruction Modified Available
Form MSHA Form 5000-1 Certificate of Electrical Training Form and Instruction Modified Available
Form MSHA Form 5000-1 Certificate of Electrical Training (instructors and contractors) Form and Instruction Modified Repair queued
1219-0001 60-Day FRN Published 7-3-2025.pdf Supplementary Document Uploaded 2025-09-03 Repair queued
1219-0001 60-Day FRN Published 7-3-2025.pdf Supplementary Document Uploaded 2025-09-03 Repair queued
1219-0001 Supporting Statement 2025.docx Supporting Statement A Uploaded 2025-09-03 Repair queued
1219-0001 Supporting Statement 2025.docx Supporting Statement A Uploaded 2025-09-03 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
208114 Evidence of Eligibility Modified
192599 Certificate of Electrical Training (State Grantees) Form and Instruction RemovedCertificate of Electrical Training
192599 Certificate of Electrical Training (State Grantees) Form and Instruction RemovedCertificate of Electrical Training
192599 Certificate of Electrical Training (State Grantees) Form and Instruction Removed
14333 Certificate of Electrical Training (instructors and contractors) Form and Instruction ModifiedCertificate of Electrical Training
14333 Certificate of Electrical Training (instructors and contractors) Form and Instruction ModifiedCertificate of Electrical Training
14333 Certificate of Electrical Training (instructors and contractors) Form and Instruction Modified
ICR Details
1219-0001 202504-1219-004
Active 202502-1219-001
DOL/MSHA
Certificate of Electrical Training and Applications for MSHA Approved Tests and State Tests Administered as Part of an MSHA-approved State Program
Extension without change of a currently approved collection   No
Regular
Approved without change 12/12/2025
Retrieve Notice of Action (NOA) 09/15/2025
  Inventory as of this Action Requested Previously Approved
12/31/2028 36 Months From Approved 12/31/2025
1,512 0 1,632
695 0 772
331 0 299

MSHA's Form 5000-1, "Certificate of Electrical Training," is required to be used by instructors for reporting to MSHA the qualification of those persons who have satisfactorily completed a coal mine electrical training program course. The Agency is also requesting approval for applications for MSHA approved tests and for State tests that are administered as part of an MSHA-approved State program.

US Code: 30 USC 811 Name of Law: Federal Mine Safety and Health Act of 1977
   US Code: 30 USC 813(h) Name of Law: Federal Mine Safety and Health Act of 1977
  
None

Not associated with rulemaking

  90 FR 2958 07/03/2025
90 FR 44397 09/15/2025
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,512 1,632 0 -120 0 0
Annual Time Burden (Hours) 695 772 0 -77 0 0
Annual Cost Burden (Dollars) 331 299 0 32 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Number of Respondents: The estimated number of respondents decreased from 294 to 248 due to a decline in the number of submissions of MSHA Form 5000-1 and evidence of eligibility. Number of Responses: The estimated number of responses decreased from 1,632 to 1,512 due to a decline in the number of submissions. Annual Time Burden: The estimated annual time burden decreased from 772 hours to 695 hours due to the decrease in the number of responses. Annual Burden Costs: The estimated annual burden costs increased from $52,687 to $53,568 due to an increase in wages. Annual Other Burden Costs: The estimated annual other burden cost increased, from $299 to $331 due to an increase in the share of forms submitted by mail.   Federal Hours: The estimated annual federal hours remained the same at 730 hours as the time to spent maintaining the database remained constant. Federal Costs: The estimated annual federal costs increased from $35,081 to $42,766 due to an increase in the number of certification cards mailed to miners.

$42,766
No
    No
    No
No
No
No
No
Joanna Moore 202 693-9825 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/15/2025